Extra Points: Lower limbs

Points on the leg and foot that sit off the channels – Xiyan at the knee, Bafeng between the toes. EX-LE in the WHO nomenclature.

35 Acupuncture Points

Each point lists the symptoms it is indicated for. A symptom links to the sourced protocols for it.

XL01AHip Bone

XL01A acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 髋骨 (kuān gǔ)

🎯 Location: A pair of the points 2 thumb widths superior to the patella and 1.5 thumb widths lateral and medial to the ➞ st-34 (liangqiu)..

⚠️ Cautions: Caution in hip disorders.

🛡️ Treats: Arthritis Rheumatoid, Hip Pain, Stroke, Lower Back Pain, Intestine Pain

XL01BHip Bone

XL01B acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 髋骨 (kuān gǔ)

🎯 Location: A pair of the points 2 thumb widths superior to the patella and 1.5 thumb widths lateral and medial to the ➞ st-34 (liangqiu)..

⚠️ Cautions: Caution in hip disorders.

🛡️ Treats: Arthritis Rheumatoid, Hip Pain, Stroke, Lower Back Pain, Intestine Pain

XL02Crane's Summit

XL02 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 鶴頂 (hè dǐng)

🎯 Location: In the depression the at the midpoint of the superior border of the patella.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Knee Pain, Qi Stagnation, Blood Stagnation, Wind, Swelling

XL03Hundred Insect Nest

XL03 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 百蟲窩 (bǎi chóng wō)

🎯 Location: 3 thumb widths proximal to the medial superior border of the patella, in the a tender depression on the bulge of the vastus medialis muscle, 1 thumb width proximal to the xuehai sp-10.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Wind, Damp, Heat Blood, Wind Rash, Itchiness Skin

XL04Clear The Brain

XL04 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 腦清 (nǎo qīng)

🎯 Location: 2 thumb widths proximal to the st41, in the line connecting st36 and st41..

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Psychological Confusion Disorder, Poor Memory, Calm Mind, Vertigo, Lassitude

XL05AMedial Eye Of The Knee

XL05A acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 内膝眼 (nèi xī yǎn)

🎯 Location: When the knee is flexed, in the depression medial to the patellar ligament. The medial member of the Xiyan (EX-LE 5) pair; EX-LE 4 (Neixiyan) denotes this point alone.

⚠️ Cautions: Avoid in acute knee injuries.

🛡️ Treats: Swelling, Pain, Leg Muscle Wasting, Qi Leg, Leg Numbness

XL05BLateral Eye Of The Knee

XL05B acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 外膝眼 (wài xī yǎn)

🎯 Location: When the knee is flexed, in the depression lateral to the patellar ligament. The lateral member of the Xiyan (EX-LE 5) pair; the same depression as ST35 (Dubi), which is why prescriptions naming both Dubi and Xiyan describe two hollows, not three.

⚠️ Cautions: Avoid in acute knee injuries.

🛡️ Treats: Swelling, Pain, Leg Muscle Wasting, Qi Leg, Leg Numbness

XL06Gall Bladder Point

XL06 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 膽囊穴 (dǎn náng xué)

🎯 Location: Between 1 & 2 thumb widths distal to the yanglingquan gb-34 on the right leg. palpate to the find the area of the maximum tenderness.

⚠️ Cautions: Avoid in acute cholecystitis.

🛡️ Treats: Heat, Damp, Rib Pain, Costal Lateral Bloating, Leg Numbness

XL07Appendix Point

XL07 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 闌尾 (lán wěi)

🎯 Location: Approximately 2 thumb widths distal to the zusanli st-36 on the right leg.

⚠️ Cautions: Acute appendicitis is a surgical emergency – treatment here is adjunctive at most and must never delay surgical assessment.

🛡️ Treats: Qi Stagnation, Appendicitis, Benefit Digestion, Paralysis Leg, Appendicitis Acute

XL08Inner Ankle Tip

XL08 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 内踝尖 (nèi huái jiān)

🎯 Location: On the highest point of the medial malleolus..

⚠️ Cautions: Avoid in acute ankle injuries.

🛡️ Treats: Heat, Toothache, Sore Throat, Benefit Collaterals, Spasm Leg Medial

XL09Outer Ankle Tip

XL09 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 外踝尖 (wài huái jiān)

🎯 Location: On the protrusion of the external malleolus..

⚠️ Cautions: Avoid in acute ankle injuries.

🛡️ Treats: Heat, Stroke, Hemiplegia, Toothache, Tonsillitis

XL10AEight Winds

XL10A acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-43.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10BEight Winds

XL10B acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-44.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10CEight Winds

XL10C acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-45.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10DEight Winds

XL10D acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-46.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10EEight Winds

XL10E acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-47.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10FEight Winds

XL10F acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-48.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10GEight Winds

XL10G acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-49.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL10HEight Winds

XL10H acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 八風 (bā fēng)

🎯 Location: On the dorsum of the foot, between the toes, 0.5 thumb widths proximal to the margin of the web. these points include xingjian liv-2, neiting st-44 & xiaxi gb-50.

⚠️ Cautions: Avoid in patients with bleeding disorders.

🛡️ Treats: Heat, Redness, Swelling, Malaria, Headache

XL11Solitary Yin

XL11 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 獨陰 (dú yīn)

🎯 Location: On the plantar side of the 2nd toe, at the centre of the distal interphalangeal joint.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Chest Pain, Vomiting, Upper Stomach Pain, Retention Placenta, Rebellion Qi

XL12Qi End

XL12 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 气端 (qì duān)

🎯 Location: Ten points at the tips of the 10 toes, 0.1 thumb width from the free margin of the each toenail.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Heat, Top of Foot Pain, Open Orifice, Corns, Toe Numbness

XL13Ring Middle

XL13 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 環中 (huán zhōng)

🎯 Location: On the posterio-superior aspect of the buttock, at the midpoint of the line connecting the prominence of the great the trochanter and the sacral hiatus.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Damp, Uterine Prolapse, Sciatica, Benefit Collaterals, Uterine Prolapse

XL14Ring On

XL14 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 環上 (huán shàng)

🎯 Location: 0.5 thumb widths superior and lateral to the huanzhong (ex-le-13), which is at the midpoint of the line connecting the prominence of the great the trochanter and the hiatus of the sacrum.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Damp, Uterine Prolapse, Sciatica, Benefit Collaterals, Uterine Prolapse

XL15Ring Middle Within

XL15 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 環中啥 (huán zhōng shá)

🎯 Location: 2 thumb widths above the and 0.5 thumb widths lateral to the midpoint of the line connecting the end of the coccyx and the pertrochantery.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Damp, Sciatica, Benefit Collaterals, Benefit Collaterals

XL16Unblocks The Meridians

XL16 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 通脉 (tōng mài)

🎯 Location: On the supero-bacterior aspect of the buttock, at the crossing point of the line perpendicular down from baihuanshu (bl30) and horizontal from huanzhong (ex-le-13).

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Benefit Qi, Benefit Yang, Benefit Blood, Thromboangitis Obliterans Early, Benefit Qi

XL17Middle Calm

XL17 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 中平 (zhōng píng)

🎯 Location: On the leg, 1 thumb width below zusanli (st36).

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Benefit Collaterals, Benefit Tendon / Ligament, Immobility Shoulder Frozen, Arthritis Shoulder Scapulohumeral Periarthritis, Benefit Tendon Ligament

XL18Supreme Shoulder

XL18 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 太肩 (tài jiān)

🎯 Location: On the leg, 0.8 directly below yinglingquan (sp9).

⚠️ Cautions: Rule out fracture, dislocation and joint instability before needling, and do not needle into an acutely swollen joint or a haemarthrosis.

🛡️ Treats: Benefit Collaterals, Benefit Tendon / Ligament, Arthritis Shoulder Scapulohumeral Periarthritis, Immobility Neck Sprain, Benefit Tendon Ligament

XL19Enuresis

XL19 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 遺尿 (yí niào)

🎯 Location: On the bottom of the foot, at the midpoint of the interpharangeal transverse crease..

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Bedwetting, Benefit Kidney, Benefit Kidney

XL20Floating Point

XL20 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 浮郄特小穴 (fú qiè tè xiǎo xué)

🎯 Location: On the lateral aspect of the foot, directly below the tip of the external malleolus, at the junction of the red and white skin..

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Damp, Benefit Spleen, Enteritis, Benefit Spleen

XL21Losing Sleep

XL21 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 失眠 (shī mián)

🎯 Location: On the bottom of the foot, at the crossing of the perpendicular line from the tip of the external malleolus and the midline of the foot bottom.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Insomnia, Calm Mind, Calm Mind

XL22Upper Go

XL22 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 上去 (shàng qù)

🎯 Location: On the posterior border of the thigh, 3 thumb widths directly above the ququan (lr8).

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Benefit Qi, Benefit Yang, Benefit Blood, Thromboangitis Obliterans, Benefit Qi

XL23Child Palace Neck (Cervix)

XL23 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 子宮颈 (zǐ gōng jǐng)

🎯 Location: On the leg, 3 thumb widths above the tip of the internal malleolus, one finger breadth prior to the tendon the calcancus, slightly posterior to the sanyinjiao (sp6).

⚠️ Cautions: Contraindicated during pregnancy.

🛡️ Treats: Heat, Damp, Cervical Ectropion Cervical Erosion, Cervical Ectropion Cervical Erosion

XL24Inner Code Point

XL24 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 內碼點 (nèi mǎ diǎn)

🎯 Location: On the inside of the lower leg, 7 thumb widths above the internal malleolus and 0.5 thumb widths from posterior edge of the tibia..

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Post-operative Pain, Post Operative Pain

XL25Plantar Court / Inner Neiting

XL25 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 里內庭 (lǐ nèi tíng)

🎯 Location: On the foot palm, in the depression the anterior to the second and third metatarsophalaneal joint.

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Diarrhea, Hives, Toothache, Neuralgia Trigeminal, Tonsillitis

XL26Four Strong

XL26 acupoint
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🗺️ Meridian: Extra Points: Lower limbs

🇨🇳 Chinese: 四強 (sì qiáng)

🎯 Location: 4.5 thumb widths superior to the centre of the upper patellar border..

⚠️ Cautions: No specific contraindications.

🛡️ Treats: Paralysis, Atrophy Leg Thigh Quadriceps Femoris, Atrophy Leg Thigh Quadriceps Femoris